参与型护理模式对慢性肾脏病5期患者自我管理的影响

目的:探究参与型护理模式对慢性肾脏病5期患者自我管理的影响。方法:将60例慢性肾脏病5期患者随机分为对照组和观察组各30例,对照组采用常规的护理模式,观察组采用参与型护理模式。应用自我护理能力测定量表(ESCA)评分和生活质量综合评定问卷评分(GQOLI-74)分别于干预两个月后对两组患者进行测评。结果:干预后两个月观察组相关健康知识水平、自我概念、自我护理责任感和使命感得分均高于对照组,差别有统计学意义(P<0.05);心理功能、躯体功能、社会功能、物质生活状态评分明显高于对照组,其中观察组的物质生活状态与对照组比较具有显著性差异(P<0.05)。结论:采用参与型护理模式对慢性肾脏病5期患者可显著提高患者的自我护理技能,加强自我责任感和自我概念,提高患者健康知识水平,同时提升患者的生活质量。

Objective To study the effect of the self management for patients with stage 5 chronic kidney disease using the participating nursing model.Method 60 patients with stage 5 chronic kidney disease were randomly divided into control group and observation group,30 cases in each group.The routine nursing care was used for the control group,and the participating nursing model was used for experimental group.Using the exerci se self-careagency scale(ESCA)and the comprehensive assessment questionnaire(GQOLI-74)to evaluate the two groups of patients two months since the starting of the intervention separately.Results The observation group related health knowledge level,the intervention,self concept,self care sens e of responsibility and mission scores were higher than the control group two months after intervention(P<0.05);mental function,physical function,social function,material life condition score was higher than that of control group two months after intervention.There were significant difference between two group(P<0.05).Conclusion the patients in nursing model on the stage 5 chronic kidney disease can significantly improve self-care skills of patients,strengthen self sense of responsibility and self concept,improve the level of health knowledge of patients,and improve the quality of life of patients.